How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $575.44 Median $2,454.71 Typical High $4,365.16 | Facility | None | $575.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $177.83 | Professional | None | $144.54 | $154.88 | $177.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,949.84 | $2,570.40 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $169.82 | Professional | None | $120.23 | $141.25 | $169.82 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,479.11 Typical High $3,090.30 | Facility | None | $707.95 | $1,479.11 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | None | $87.10 | $120.23 | $208.93 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $257.04 | Professional | None | $125.89 | $165.96 | $257.04 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $77.62 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $117.49 Typical High $131.83 | Professional | 54 · Surgery only | $107.15 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $23.44 Typical High $26.30 | Professional | 55 · Aftercare only | $21.38 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $15.49 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.45 | $15.49 | $17.78 |
Where Louisiana sits
The same service costs 10.7 times more in Oklahoma than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 5th of 51
$832
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.